| BackgroundKnee osteoarthritis (knee osteoarthritis, KOA) is a chronic degenerative joint common disease in the elderly, and its pathology traits are the degeneration of cartilage and bone hyperplasia around the joint. Country medicine considers that KOA is an arthralgia disease, which contains bone weakness, knee weakness, and atrophy and so on. The disease is frequently occurring in the elderly. The patients are from young to old, from move difficult to move an inch, and unspeakable pain, very hard to ensure the quality of life and have severe distress of their life. With advances in technology, human's longevity become longer, the occurring of degenerative knee arthritis and the probability of clinical diagnosis is getting high. The incidence of osteoarthritis is only less than cardiovascular disease, ranking second, of people over 50 year-old in our country. The etiology and pathogenesis is not fully understood, so lack of effective drugs and methods for treatment in current. Although the diversity of Chinese and Western treatments, the effects are uncertain and there is high recurrence rate. Most degenerative knee arthritis patients have high expectation on the acceptance of non-surgical therapy and treatment. But because of the characterized by progressive of the disease, most degenerative knee arthritis patients required surgery to solve the problem at last. However, from the perspective of Chinese medicine, degenerative knee arthritis is the syndrome of the root (Ben) deficiency and the branch (Biao) sthenia. In this case, taking surgery in elderly patients will bring more injury of vitality, which is undoubtedly worse.New Yijin treatment for osteoarthritis of the knee from the original idea of Professor Lin's fasciaology, that two systems theory, the whole organism can be divided into supporting-storing system and functional system. The supporting-storing system is a whole body connective tissue fasciae framework after mesenchymal-type cells differentiate into multiple organ systems during the development. Adipose derived stem cells (adipose-derived stem cells, ADSCs) are the core of this framework, which construct a new functional system by nervous system and immune system. And it is also the main foundation of fasciae tissue that the damage organs or excessive metabolism can be supplemented and repaired by the proliferation and differentiation of chemokine mobilized ADSCs.The purpose of the KOA treatment is to improve function, relieve pain and delay the degeneration of cartilage and to avoid or reduce deformity. Now, a single treatment of KOA is ineffective, most physicians advocate the use of comprehensive treatment, but the method is not standardized. NewYi Jin treatment is also a comprehensive treatment. This study is under the guidance of fascia theory, and 78 cases of KOA were collected to doing clinical studies.Through the clinical observation and statistical analysis, we can find both methods can improve the symptoms of KOA patients. And it shows that the experimental group was significantly better than the control group. So it can consider that the new Yi Jin treatment of KOA is an ideal method. And the new Yi Jin therapy is a treatment that contains acupuncture and manipulation, which has good treatment effect, little side effect, and high received by patients, worth to promoting.ObjectiveKnee osteoarthritis (knee osteoarthritis, KOA) is a chronic degenerative joint common disease in the elderly, and its pathology traits are the degeneration of cartilage and bone hyperplasia around the joint. Country medicine considers that KOA is an arthralgia disease, which contains bone weakness, knee weakness, and atrophy and so on. The etiology and pathogenesis is not fully understood, so lack of effective drugs and methods for treatment in current. New Yijin treatment of KOA is from the original idea of Professor Lin's fasciaology. Through the observation of clinical cases to explore whether the new Yijin therapy is effective for KOA. It provides a new way for KOA treatment and clinical support for the improvement of fasciaology.MethodsAll cases were acquainted from sunlight treatment center in Hong Kong from September 2008 to September 2010.78 KOA patients were selected by the case inclusion and exclusion criteria. According to the completely random distribution, patients were divided into treatment group 39 and control group 39. There were 18 males,21 females in treatment group and 17 males,22 females in control group. Statistical analysis showed comparability that two groups of age, gender, hair, disease locations and severity of disease were no significant difference. Treatment group were treated by the new Yijin treatment, and manipulation therapy for the control group.Treatment group:treated by the new Yijin therapy, lower limb muscles were released by massage for 3 to 5 minutes, stretched knee for 1 to 2 minutes, buckling the knee, and pulling, stretching, rotating knee, stimulating knee joint capsule, relaxing the muscle ligaments around the knee in the case of patients'the maximum tolerated pulling. Improving the body stress ability to promote damage repair by acupuncture in muscle intervals around the knee and abnormal points, and then retaining needles for 15 minutes. Acupuncture analgesia by floating needles around the knee leather nerve, in order to achieve complete relaxation of the muscles around the joints. The manual reduction was done in joint dislocation, which caused by muscle spasm, by pulling. Once three day, three weeks a course.Manipulation therapy was done in control group, the pulling, stretching, rotating joints in the case of the maximum across the knee muscles. All patients have done functional exercise, encouraging them to do quadriceps exercises. Followed up for 2 to 6 months, to record and compare the improvement of knee symptoms between treatment group and control group. And the data analysis was done by SPSS 13.0 statistical software.ResultsThe indicators have shown improvement in treatment group and control group after treated, and significant differences in before and after treatment (P<0.01). The total effect of the two groups was significant difference by statistical analysis P <0.05. The VAS and symptom scores of treatment group were decreased after treatment, statistical analysis P<0.01, significant difference. The VAS and symptom scores of control group were decreased after treatment, statistical analysis P <0.01, significant difference.The statistical difference of VAS and symptom scores of the two groups have showed that statistical analysis P<0.01 after treatment. It can be considered that the effect of treatment group was better than control group.ConclusionThrough this clinical observation, we can find a new and simple Yijin treatment for KOA, which can improve the symptoms. Statistics shows that the new Yijin treatment of KOA was better than manipulation treatment. The New Yijin treatment of KOA is effective, and more significant effect than manipulation treatment that worth clinical application. |
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